A-Line Staffing is now hiring a Bilingual RN Case Manager in Miami, FL The Bilingual RN Case Manager would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week.

If you are interested in this Bilingual RN Case Manager position, please contact me at shlaing@alinestaffing.com or call me at 412-790-5425

Bilingual RN Case Manager Compensation

• The pay for this position is $39.92 per hour
• Benefits are available to full-time employees after 90 days of employment
• A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates

Bilingual RN Case Manager Highlights

• This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs
• The required availability for this position schedule is Mon- Friday 8:30-5pm

Bilingual RN Case Manager Responsibilities

-Develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member's overall wellness through integration.

-Through the use of clinical tools and information/data review, conducts an evaluation of member's need and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.

-Applies clinical judgement to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.

-Assessments take into account information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality.

– Reviews prior claims to address potential impact on current case management and eligibility.

– Assessments include the member’s level of work capacity and related restrictions/limitations.

– Using a holistic approach assess the need for a referral to clinical resources for assistance in determining functionality.

– Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.

– Utilizes case management processes in compliance with regulatory and company policies and procedures.

– Utilizes interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.

Bilingual RN Case Manager Requirements

Case management experience

- Certified Case Manager (CCM) certification
-Home Health experience
-Position requires proficiency with computer skills which includes navigating multiple systems
- Ability to work in a fast-paced environment
-Strong telephonic communication skills

If you think this Bilingual RN Case Manager position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!